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Individual

MELANIE MARIE BRONSWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 789-1367
(401) 789-6744
Mailing address
4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813-1842
(401) 364-7705
(401) 364-9104

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/02/2012
Last updated
04/02/2012
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